The US election is very costly and the money goes to both sides. Which means, the vested interests would dominate the politics and that is the reason why it took this much for financial and healthcare reforms. The irresponsible boom and bust policies of their wild greed, high risk managements and such an amount of CEO bonuses, medical costs ever going up just for normal surgeries and medical procedures, and the silence of the US media for the tragedies resulting from the private companies' short oversights -- it will be hard to cope with the changes under the dominance.